Individual
DANIEL MCISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2926 COURVILLE DR, BLOOMFIELD HILLS, MI 48302-1021
(248) 225-7206
Mailing address
2926 COURVILLE DR, BLOOMFIELD HILLS, MI 48302-1021
(248) 225-7206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302028284
MICHIGAN LARA
MI
Enumeration date
07/31/2017
Last updated
07/21/2022
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